Active NPI
Purchase Care LLC
- General Practice Physician
- Calvert City, KY
National Provider Identifier
1710047998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- PURCHASE CARE LLC
- Practice address
- 503 5TH Ave
Calvert City, KY 42029 - Phone
- (270) 395-5388
- Fax
- (270) 395-1792
- NPI assigned
- Dec 11, 2006
- Last updated
- Feb 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles L Waller Jr., MD
- Title
- Medical Director
- Phone
- (270) 395-5388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
503 5TH Ave
Calvert City, KY 42029
Mailing address
PO Box 1175
Calvert City, KY 42029
Phone (270) 395-5388
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65941718 | Medicaid | KY | |
| 000000174371 | Other | ANTHEM |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Paducah, KY
- NPI 1699863514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328659200000",
"number": "1710047998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1175",
"city": "CALVERT CITY",
"state": "KY",
"postal_code": "42029",
"telephone_number": "270-395-5388",
"fax_number": "270-395-1792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 5TH AVE",
"city": "CALVERT CITY",
"state": "KY",
"postal_code": "42029",
"telephone_number": "270-395-5388",
"fax_number": "270-395-1792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURCHASE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2012-02-08",
"status": "A",
"authorized_official_last_name": "WALLER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "270-395-5388",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65941718",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000174371",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Calvert City, KY
- Lori Ann Lipinski, DNP; ARNP-BC
- LP Calvert City, LLC (Oakview Nursing & Rehabilitation Center)
- Marshall County Health Department (Marshall County Health Department Calvert City Clinic)
- Leeann Mills
- Hayes Oliver
- Jacob Ryan Quint, D.C.
- Richard I. Cocke Jr., P.S.C.
- Alison Nicole Roberts, M.S. CCC-SLP
- William Ross
- Gary Webster Smith, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.